EndoAnchor Coding Guide - Medtronic

2024 Endograft Fixation Coding Guide

PATIENT:

PHYSICIAN: PROCEDURE DATE:

PRIMARY DIAGNOSIS: SECONDARY DIAGNOSIS:

CPT? codes, descriptions and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components aren't assigned by the AMA, aren't part of CPT?, and the AMA isn't recommending their use. The AMA doesn't directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Physician Coding

Aortic endograft fixation

CPT? Code

Description

2024 Work RVU

Common modifiers that may apply

-50 -51 -62 -80 -AS

34712

Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation

12 -- -51 -62 -80 -AS

This code should be reported only once per operative session, even when multiple anchors are placed. When used in conjunction with a primary endograft placement, 34712 is subject to the multiple procedure payment

reduction (modifier ?51).

Hospital Inpatient Coding

Endograft fixation in conjunction with primary placement of Aortic Endograft

ICD-10-PCS Procedure Code

Description

N/A

Do not code separately

FY2024 MS-DRG Assignment Reimbursed with principal procedure (EVAR or TEVAR repair)

Endograft fixation without placement of Aortic Endograft (revision)

EVAR Revision

ICD-10-PCS Procedure Code

Description

04WY3DZ

Revision of intraluminal device in lower artery, percutaneous approach

TEVAR Revision

ICD-10-PCS Procedure Code

Description

02WY3DZ

Revision of intraluminal device in great vessel, percutaneous approach

2024 Endograft Fixation Coding Guide US | January 2024 | UC202408963EN

FY2024 MS-DRG Assignment 252-254: Other Vascular Procedures

FY2024 MS-DRG Assignment 270-272: Other Major Cardiovascular Procedures

Modifier

-26 -50 -51 -59 -XE -XS -XP -XU

Description

Professional component Bilateral procedure Multiple procedures (50% reduction) Distinct procedure service Distinct service ? separate encounter Distinct service ? separate organ/structure Distinct service ? different practitioner Distinct service ? unusual, eg, non-overlapping

Modifier

-62 -78 -79 -80 -AS

Description

Co-surgeons: separate group and specialty (62.5%) Unplanned return to OR for related procedure during post-op period Unrelated procedure during post-op period Assistant surgeon (16%) Assistant-at-surgery (non-physician practitioner) (85% of 16%)

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Product Services Tel: 888.283.7868 Fax: 800.838.3103 Reimbursement Information Telephone: 877.347.9662 cvreimbursement

CPT? codes, descriptions and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components aren't assigned by the AMA, aren't part of CPT?, and the AMA isn't recommending their use. The AMA doesn't directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Code descriptions have been abbreviated in this document. For specific AMA descriptions of current CPT? coding, please refer to the most recent version of the CPT? Coding Book.

Medtronic does not represent or guarantee that this information is complete, accurate, or applicable to any particular patient or third party payer. Medtronic disclaims all liability for any consequence resulting from reliance on this document. The final decision of billing for any service must be made by the health care provider considering the medical necessity of the service furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply. Medtronic is providing this information in an educational capacity with the understanding that Medtronic is not engaged in rendering accounting, or other professional services. Medtronic encourages all health care providers to consult with their own advisors regarding coding and payment. Medtronic doesn't offer products with approved indications for all procedures listed. For more information, contact the Cardiovascular Health Economics, Policy & Reimbursement Team.

Cardiovascular coding, coverage, and reimbursement resources are available online at cvreimbursement. For questions or more information, contact Medtronic Vascular Health Economics, Policy & Payment at (866) 260-3987 or rs.cardiovascularhealtheconomics@.

UC202408963EN ?2024 Medtronic. Medtronic, Medtronic logo, and Engineering the extraordinary are trademarks of Medtronic. All other brands are trademarks of a Medtronic company. 01/2024

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